- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $54,341.20 / $88,748.50
| Facility | | $6,303.00 | $54,341.20 | $88,748.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71,772.24 / $98,711.46 / $132,449.47
| Facility | | $71,772.24 | $98,711.46 | $132,449.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,804.79 / $80,754.59 / $113,204.68
| Facility | | $58,804.79 | $80,754.59 | $113,204.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,194.88 / $89,687.03 / $113,066.03
| Facility | | $51,194.88 | $89,687.03 | $113,066.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,194.88 / $90,433.62 / $118,585.47
| Facility | | $51,194.88 | $90,433.62 | $118,585.47 |